Individual provider Active NPI

Rebecca Michela, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Riverview, FL
National Provider Identifier
1619132149
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 0000849 Issued in FL
Practice address
6919 Marble Fawn PL
Riverview, FL 33578-4456
Phone
(813) 310-0169
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 0000849 FL Primary

Addresses

Primary practice location

6919 Marble Fawn PL
Riverview, FL 33578-4456

Mailing address

6919 Marble Fawn PL
Riverview, FL 33578-4456
Phone (813) 310-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521003259 FL Practitioner - Qualified Speech Language Pathologist 6507336328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of South Florida College of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1176 N Jasmine Ave
Tarpon Springs, FL 34689-5235

430 3Rd Ave S Apt
Suite 431
Saint Petersburg, FL 33701-4230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 0000849FLMDSpeech-Language Pathologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1619132149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 MARBLE FAWN PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784456",
            "telephone_number": "813-310-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 MARBLE FAWN PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784456",
            "telephone_number": "813-310-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELA",
        "first_name": "REBECCA",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 0000849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.